Individual
OMAR SOROUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-2637
(617) 636-7021
Mailing address
800 WASHINGTON ST # 8, BOSTON, MA 02111-1552
(401) 658-6143
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
3014763
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
04/05/2023
Last updated
06/15/2023
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